tbuckley/cabot-search huggingface dataset:
Endoscopic full-thickness plication for treatment of PPI-dependent Gastroesophageal Reflux Disease: a case of severe adverse event
Authors: G. Valerii, S. Longo, N. Rubino, C. Cellini, C. Barbera
Journal: Endoscopy (2023)

Aims Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal disorders, with a global prevalence of approximately 20% of adults in Western countries. Treatment options for patients with chronic GERD include long term therapy with Proton Pump Inhibitors (PPIs), laparoscopic fundoplication or endoscopic anti-reflux procedures. Endoscopic full-thickness plication with GERDx (G-SURG, Germany) device has been proven to be safe and effective in improving quality of life in PPI-dependent patients who refuse surgery or long-term medications are not an option. We showed a case of adverse event(SAE) and management related to the device after GERDx.
Gastric polyps in southern Morocco: what particularities?
Authors: F. Z. Boubakr, N. Elmoutaoukil, A. Snoussi, S. Noubail, M. Zouaoui, M. Boussouab, M. Azouaoui, Y. Hnach, N. Aqodad
Journal: Endoscopy (2023)

Aims A gastric polyp (GP) is a raised lesion protruding into the lumen of the stomach. The aim of our work is to study the prevalence, the clinical and endoscopic characteristics and the different histological types of GPs as well as their particularities in our population.
Clinical audit of colorectal ESD performed for large colorectal mucosal lesions from a region non-endemic for colorectal cancer – Evaluating the predictive factors for difficult resections and determining the learning curve for colorectal ESD
Authors: J. Ansari, H. Bapaye, H. Raina, A. Gandhi, M. Borkar, A. Bale, P. Bharambe, J. Bapaye, S. Gokhale, Y. Kanani, A. Bapaye
Journal: Endoscopy (2023)

Aims ESD – superior Enbloc Resection (ER) rates; CR ESD – technically difficult, time consuming, steep learning curve. Evaluate factors predicting difficulty to perform CR ESD, risk factors for failure of ER; calculate learning curve to achieve competency in CR ESD.
Malignant degeneration of treated Zenker´s diverticulum
Authors: S. Wang, A. Martins Pinto da Costa, E. C. Abad Izquierdo, E. Santos Perez, S. Martín Poza, M. González-Haba Ruiz, J. L. Calleja Panero
Journal: Endoscopy (2023)

Abstract Text A 75-years-old man with Zenker's diverticulum, endoscopically treated in 2002, presented dysphagia. In the first upper gastrointestinal endoscopy (UGE), a stenosis of benign aspect was observed, suggestive of recurrence of diverticulum. Endoscopic dilation was considered. But, in new UGE, access to the diverticula was achieved, showing a lesion suggestive of infiltrating neoplasm. Histology showed well-differentiated squamous cell carcinoma. Malignant degeneration of Zenker's diverticulum is a rare complication, more than the recurrence of these. Although accessing the diverticulum by endoscopy might be difficult and risky, the diagnosis must be refined before attempting any therapeutic maneuvers. [1]
Women in menopause are not so disadvantaged: outcome of Endoscopic Sleeve Gastroplasty based on fertility status
Authors: G. Carlino, V. Bove, V. Pontecorvi, M. De Siena, G. Polidori, L. Vinti, P. Mascagni, G. Palumbo, N. Antonini, C. Massari, G. Giannetti, G. Costamagna, C. Spada, I. Boskoski, M. V. Matteo
Journal: Endoscopy (2023)

Aims Endoscopic sleeve gastroplasty (ESG) is a safe and effective procedure in class 1 and 2 obese subjects.The effects of menopause on weight are well known. However, given that this patient population is inherently weight-concerned, understanding the effects of ESG on women in menopause is essential to guiding clinicians in counselling this patient population.
Is early ERCP a key element in the prognosis of patients with moderate cholangitis?
Authors: A. Gonçalves, M. Silva, A. Fernandes, S. Barbeiro, H. Vasconcelos
Journal: Endoscopy (2023)

Aims According to the Tokyo 2018 and ESGE 2019 guidelines, endoscopic retrograde cholangiopancreatography (ERCP) should be performed early (within 48-72h) in moderate (grade II) acute cholangitis (AC), which is often impractical. To compare different clinical outcomes (in-hospital and 30-day mortality, persistence of clinical changes at 72 hours, need for emergent ERCP, post-ERCP complications and readmission rate) in patients with moderate AC, submitted to ERCP ≤72h (Group 1) and >72h (Group 2).
Deep ileoscopy performed with standard colonoscope with underwater technique allows to treat Dieulafoy lesion in ileum
Authors: J. Pérez Pérez, J. Escobar Ortiz, L. Vela De La Cruz, M. Roldán Fernández, G. G. Francisco, P. D. Angel, A. Martinez-Alcalá
Journal: Endoscopy (2023)

Abstract Text We present a case of an 84-year-old woman with past history of atrial fibrillation on anticoagulant treatment with Edoxaban. The patient begins with progressive anemia of up to 5 g/dl, requiring 15 blood transfusions.Dieulafoy's lesion is a very rare entity in the small intestine, and can cause bleeding of obscure origin. Enteroscopy is an effective technique for treating lesions that are not accessible by conventional endoscopes, although the underwater technique makes it possible to advance to deeper areas by reducing the loop, and the colonic distension, produced during the introduction of the endoscope [1] [2] [3].
Percutaneous transhepatic choledochoscopic electrohydraulic lithotripsy (PTSC-EHL) of a common bile duct stone complicating a postsurgical biliary anastomosis
Authors: M. Birligea, T. Voiosu, E. Dumea, M. Grasu, A. Bengus, A. Voiosu, R. B. Mateescu
Journal: Endoscopy (2023)

Aims Until recently, patients with common bile duct stones in a post-surgical anatomy (i.e. Billroth II or Roux-en-Y procedures) had limited options in case the classical endoscopic approach failed. The percutaneous approach, by conventional interventional radiology techniques, was not able to adequately address large stones in the bile ducts. The development of a new type of cholangioscope (the SpyGlass Discovery), dedicated for percutaneous treatment of intraductal disease, has dramatically improved the management of these difficult cases.
Closure of mucosal defects post endoscopic resection using an endoloop system: description and results of a new technique in 23 patients
Authors: F. S. Marin, E. Abou Ali, A. Belle, R. Coriat, S. Chaussade
Journal: Endoscopy (2023)

Aims To define a new technique of closure of mucosal defects post endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD), using an endoloop system, to assess its rate of technical success and of post resection delayed haemorrhage.
POEM post-Heller myotomy: when endoscopy is the solution
Authors: F. Côrte-Real, N. Nunes, D. B. Moura, C. Chálim Rebelo, M. Flor De Lima, F. Taveira, M. P. Costa Santos, V. Costa Santos, A. C. Rego, J. R. Pereira, N. Paz, M. A. Duarte
Journal: Endoscopy (2023)

Abstract Text A 33 year-old patient with non-specified achalasia (conventional manometry), who underwent Heller myotomy, presented with reappearance of symptomatology (Eckardt score 5) five years later. Upper endoscopy showed annular constriction of esophagogastric transition, which could be passed with difficulty. Esophageal transit revealed an epiphrenic ampulla in its terminal portion and esophageal emptying difficulty. Esophageal manometry showed esophageal aperistalsis, compatible with type II achalasia, with IRP<15 mmHg. The patient underwent a posterior approach of peroral endoscopic myotomy. There was an improvement of symptoms (Eckardt score 0) until today (10 month follow-up). [1]
Magnetically guided capsules with robot and artificial intelligence for non-hematemesis gastrointestinal bleeding
Authors: J. F. Rey, C. Monfort
Journal: Endoscopy (2023)

Aims Diagnosis yield of magnetically guided gastric capsule has shown its efficacy compared with conventional gastroscopy,but as colon capsule this device has a limited interest in Europe.we have a long-standing clinical experience in magnetically guided gastric capsule with Olympus-Siemens (391 cases) , Ankon (85 cases) then recently with Robot Omom (10 cases). We assess the clinical benefit in a specific group of patients : non-hematemesis gastrointestinal bleeding as first line examination [1].
Drainage of pancreatic fluid collections with lumen apposing metal stents (LAMS). Our experience
Authors: A. Campos, L. Urtasun, I. Gorroño, C. Urteaga, S. Martin, M. Alvarez, A. Orive
Journal: Endoscopy (2023)

Methods Retrospective descriptive study that includes 30 patients who have undergone 32 endoscopic ultrasound drainage of pancreatic fluid collections by placing a LAMS, from 2018 to present.
Elderly vs. Young patients : clinical, endoscopic and prognostic particularities in case of upper gastrointestinal bleeding : prospective study
Authors: T. Addajou, S. Mrabti, A. Benhamdane, A. Sair, B. Aourarh, K. Boualiten, R. Berraida, R. Fedoua, A. Benkirane, H. Seddik
Journal: Endoscopy (2023)

Aims The aim of our study is to compare the epidemiological, clinical, endoscopic, therapeutic and prognostic characteristics of upper gastrointestinal bleeding in young vs. elderly subjects.
Multiple Pockets ESD for a large 15 by 12 cms anorectal LST G mixed nodular polyp- Challenges faced and tricks for success
Authors: P. N. Desai, K. Mayank, P. Chintan, P. Ritesh
Journal: Endoscopy (2023)

Abstract Text 70 year female – 95% circumferential 15 by 12cms Paris 1S + 2A, JNET 2A polyp from anal verge. Reluctant for surgery. ESD planned. Under GA Dissection started at anal verge. Posterior, right and left lateral and anterior tunnels made with ESD technique. Significant blood vessels and fibrosis encountered. After 12 hours two tunnels joined. Patient ventilated overnight, procedure done next morning. Patient position changed several times for gravity. Conclusion: Large LST and bulky component have severe fibrosis. Changing patient’s position , using, gravity and coagulation grasper for control of bleeding are important.
Endoscopic treatment of post-surgery dehiscence of oesophagus-ileum-colonic anastomosis: when endoscopy reaches its limit!
Authors: G.E. M. Rizzo, L. Carrozza, T. Salvatore, D. Ligresti, I. Tarantino, M. Traina
Journal: Endoscopy (2023)

Abstract Text A 55-year-old male underwent a complete gastrectomy with partial esophagectomy due to a gastro-esophageal tumor. Reconstruction included using the right colon and the last loop of the ileum, but he developed an anastomotic leak and intra-thorax collections. Gastroscopy showed a dehiscence of the esophagus-ileum anastomosis with purulent/oily secretions. We decided to deploy an enteral FC-SEMS(150x22mm) with proximal side in the cervical esophagus fixed with both metallic clip and endoscopic sutures, and a further coaxial FC-SEMS(80x22mm) to connect the colon, with the overlapping section fixed with three metallic clips. Unfortunately the colon became ischemic and necrotic, so he underwent surgery.
Endosonographic evaluation of mediastinal and abdominal lymphadenopathy
Authors: R. Khandelwal, R. Baijal, M Paithankar
Journal: Endoscopy (2023)

Aims To assess mediastinal and abdominal lymph nodes(LN) by Endoscopic ultrasonography (EUS) and to compare feautures with fine needle aspiration cytology (FNAC) outcomes.
Technical success, rescue techniques and adverse events with Endoscopic Retrograde Cholangiopancreatography (ERCP) in presence of periampullary diverticulum: A multi-centre experience
Authors: A. Sachan, D. Siddhartha, A. Gaurav, M. Akhil, P. Rahul, S. Sundaram, H. S. Mandavdhare
Journal: Endoscopy (2023)

Aims Presence of peri-ampullary diverticulum (PAD) has controversial effect on technical success and adverse effects of Endoscopic Retrograde Cholangiopancreatography (ERCP).
Difficult biliary cannulation: an experience of a tertiary Tunisian center
Authors: K. Ben Abdallah, L. Hamzaoui, M. Mahmoudi, A. Ben Mohamed, M. Yakoubi, A. Khsiba, M. Medhioub, M. M. Azouz
Journal: Endoscopy (2023)

Aims We aim to determine the prevalence of difficult biliary cannulation (DBC) and its associated factors and to describe the efficiency and safety of used cannulation methods.
EUS-guided Jejunal-Jejunal anastomosis with LAMS as mini-invasive treatment for Malignant Afferent Loop Syndrome
Authors: M. Amata, D. Scimeca, F. Mocciaro, E. Conte, A. Bonaccorso, A. Calì, B. Scrivo, R. Di Mitri
Journal: Endoscopy (2023)

Abstract Text A 79-year-old woman with Malignant Afferent Loop Syndrome (tumour recurrence at the gastro-jejunal anastomosis after Billroth II reconstruction) was referred to our Institute for EUS-guided Jejunal-Jejunal anastomosis between afferent (AL) and efferent (EL) loop in order to drain pancreatobiliary secretion into the jejunum, decreasing the bile reflux into the stomach. The AL was accessed from the EL using the electrocautery-enhanced delivery system of a 20-mm LAMS (Axios-EC) that was released under EUS and fluoroscopic control, resulting in a large amount of bile drained through the LAMS into the EL. Then, EUS-directed transenteric ERCP was performed with sphincterotomy and plastic biliary-pancreatic stenting.
Contribution of gastroscopy in non-varicose upper gastrointestinal bleeding and predictive factors for the need for endoscopic treatment : a prospective study
Authors: A. Benhamdane, T. Addajou, S. Mrabti, A. Sair, B. Aourarh, K. Boualiten, B. Jihane, R. Berraida, R. Fedoua, A. Benkirane, H. Seddik
Journal: Endoscopy (2023)

Aims The aim of our study is to evaluate the contribution of gastroscopy in non-varicose HDH and to assess the factors that predict the need for endoscopic haemostasis.
Characteristics and features of upper gastro intestinal bleeding in patients on antithrombotic drugs: a prospective study
Authors: A. Benhamdane, T. Addajou, S. Mrabti, B. Aourarh, A. Sair, B. Jihane, K. Boualiten, R. Berraida, R. Fedoua, A. Benkirane, H. Seddik
Journal: Endoscopy (2023)

Methods This is a prospective monocentric cross-sectional study of 332 patients conducted between June 2020 and August 2021.We considered as users of AT drugs all patients on antiplatelet agents (low-dose aspirin, thienopyrimidines) and/or anticoagulants (vitamin K antagonists, direct-acting anticoagulants, heparin).
A troublesome ERCP – retrieving a proximal migrated biliary stent impacted in the common bile duct
Authors: A. V. Dragan, B. Mateescu, A. Voiosu
Journal: Endoscopy (2023)

Abstract Text A 49-year-old man is referred for endoscopic extraction of a migrated plastic stent placed 2 years ago for refractory biliary lithiasis. The cholangiogram shows a deep migrated stent with the distal end exceeding the contour of the bile duct. We tried to mobilize the distal tip with the foreign body forceps, but due to its frailty, it breaks down. Under direct visualization with the cholangioscope we extract the torn parts and cannulate the remaining distal part of the broken stent with a guidewire, pass a sphincterotome over the guidewire and through the stent, pull the stent to the duodenum, and then safely grab it with a snare.
Chronic constipation and colonoscopy: Who and what to expect?
Authors: H. Kallel, M. Ayari, A. Chehaider, M. Mtir, F. Souli, I. Abdelaali, T. Jomni, H. Douggui
Journal: Endoscopy (2023)

Aims Constipation is a common reason for consultation in gastroenterology, generating a significant medico-economic impact. The aim is to study the interest of colonoscopy in the exploration of chronic constipation according to the age of the patient.
Malignant anorectal melanoma. Importance of early detection and its prgnostic implications
Authors: J. Pérez Pérez, S. M. Monsalve, J. Escobar Ortiz, J. Bernal Jorquera, D. Roldán, A. Martinez-Alcalá, P. D. Angel
Journal: Endoscopy (2023)

Abstract Text The appearance of melanomas in the gastrointestinal tract is rare. However, it must be taken into account in the differential diagnosis of gastrointestinal neoplasms, since they are very aggressive tumors and their early detection is essential to be able to offer patients optimal treatment in the initial stages of the disease [1] [2] [3].
Particular features of colorectal polyps in the elderly: how do they differ from the young?
Authors: A. Benhamdane, T. Addajou, S. Mrabti, A. Sair, B. Aourarh, B. Jihane, K. Boualiten, R. Berraida, R. Fedoua, A. Benkirane, H. Seddik
Journal: Endoscopy (2023)

Aims The aim is to evaluate the differences between older and younger patients regarding the incidence of colorectal polyps, their endoscopic characteristics and the overall complication rate after resection.
Acute upper gastrointestinal bleeding as a result of the arterio-biliary fistula
Authors: K. Rusin
Journal: Endoscopy (2023)

Results A 61–year-old woman with transplanted liver (March 2022) was hospitalized in September 2022 due to recurrent cholangitis. Two weeks earlier the patient was discharged from the hospital with diagnosed duodenal ulcer bleeding and cholangitis. In her past medical history patient had post- OLT biliary anastomosis leak and anastomosis site stricture resulting with repeated ERCPs and biliary stent replacement. On the third day of the hospital stay patient developed symptoms of upper gastrointestinal bleeding: melena, hyoptension and drop of hemoglobin level. Emergency gastroscopy was performed on the same day: in the duodenal bulb a blood clot was seen which covered two weeks earlier placed clipses. During the gastroscopy the blood clot was removed. No ongoing bleeding or ulceration was observed. Duodenal papilla and biliary stents were covered with blood clot. During the removal of the blood clot acute hemorrhage started from the papilla. Patient became hemodynamically unstable with low blood pressure and tachycardia. Common bile duct was canulated amongside the biliary stents and closed with 15 mm stone extraction balloon. Patient was immediately transferred to angiography.
Peroral endoscopic myotomy in the management of Zenker’s diverticulum: the experience of two tertiary centers
Authors: S. Archer, R. Küttner-Magalhães, D. Falcão, J. I. Alves da Silva, J. Santos-Antunes, M. Rui, M. Guilherme, P. Isabel
Journal: Endoscopy (2023)

Aims The aim of our study was to investigate the efficacy and safety of Zenker-peroral endoscopic myotomy (Z-POEM), a third-space approach.
Evaluation of parameters influencing the quality of colon preparation with a split dose regimen of sulfate salts
Authors: G. Axiaris, A. Ioannou, C. Koumentakis, E. Papathanasiou, M. Tzakri, G. Leonidakis, L. Vasilieva, E. Pantelakis, E. Zampeli, P. Baxevanis, S. Michopoulos
Journal: Endoscopy (2023)

Methods Consecutive adults who completed their preparation for colonoscopy with a combination of sodium sulfate anhydrous, magnesium sulfate heptahydrate and potassium sulfate. A questionnaire evaluated diet and laxative intake before the colonoscopy. Cleanliness was evaluated with the Boston Bowel Preparation Scale (BBPS, Optimal=9, Suboptimal=6-8).
Patients with corpus atrophic gastritis and antrum involvement may have antral healing at long term follow-up: real regression or sampling error?
Authors: L. Dottori, C. Palumbo, E. Dilaghi, G. Pivetta, I. Ligato, G. Esposito, E. Pilozzi, B. Annibale, E. Lahner
Journal: Endoscopy (2023)

Aims Corpus Atrophic Gastritis (CAG) is characterized by inflammation and oxyntic gland loss. CAG is defined as autoimmune when sparing antrum and as Helicobacter pylori (Hp)-related (multifocal) when antrum is involved. Possible antral healing has been supposed. Since antrum sparing is crucial for autoimmune gastritis diagnosis and implies a lowering of OLGA-OLGIM risk scores for gastric cancer, we aimed to analyse antral histology at long-term follow-up (FU) in patients with CAG and concomitant antral involvement.
Torrential Bleeding at ERCP – Stent it and Stop it
Authors: D. B. Moura, N. Nunes, F. Côrte-Real, C. Chálim Rebelo, M. Flor De Lima, F. Taveira, M. P. Costa Santos, V. Costa Santos, A. C. Rego, J. R. Pereira, N. Paz, M. A. Duarte
Journal: Endoscopy (2023)

Abstract Text A 65-year-old male patient was admitted for ERCP due to choledocholithiasis. During the procedure, a plastic stent was placed after incomplete removal of calculi. An ERCP was performed two months later. The stent was in situ and was removed uneventfully. The cholangiogram revealed a dilation of the main biliary duct and an impacted stone. Calculus removal after balloon dilation up to 15 mm, followed by torrential arterial bleeding. First attempt at hemostasis with balloon compression was ineffective. A fully covered metallic stent (30 Fr x 6 cm) was placed with hemorrhage resolution. The patient was safely discharged after 48 hours. We present a rare complication successfully resolved during the procedure [1].
Results of the national survey on "Women in Spanish Endoscopy"
Authors: B. Martínez-Moreno, M. García-Campos, M. Pellise Urquiza, B. Gonzalez-Suárez, C. Mangas Sanjuán, R. Villagrasa, L. Martí Romero, C. Loras, J. R. Aparicio Tormo
Journal: Endoscopy (2023)

Aims to obtain updated information on spanish female endoscopists: type of endoscopy performed, interest in endoscopy, difficulties in accessing or developing advanced endoscopy, and visibility of female endoscopists
Managing the migration of biliary intrahepatically stent:
Authors: F. Z. Lamrani, C. MEHDAOUI, Y. Bensalah, I. Essaidi, A. Hassini, S. Rami, W. Khanoussi, G. Kharasse, A. Zazour, Z. Ismaili
Journal: Endoscopy (2023)

Methods A study is being conducted over 6 years from October 2016 to November 2022, collecting 1554 ERCP including 536 stent placements for various conditions, representing 34% of all ERCPs performed, complicated by 71 migrations, 5 of which are intrahepatic migration, (0.3%) of all biliary stenting. Our series included 5 cases.
Hepatic pseudoaneurysm after endoscopic ultrasound-guided liver biopsy
Authors: I. Garrido, S. Joel, C. Rosa, L. Susana, M. Guilherme
Journal: Endoscopy (2023)

Aims Clinical case: A 42-year-old Caucasian male was diagnosed with B-cell acute lymphoblastic leukemia. He completed the induction phase of the PETHEMA LAL Ph-2008 protocol. Later, it was noticed new-onset cytocholestasis and hyperbilirubinemia. The metabolic, virological and autoimmune study was negative. The abdominal CT scan revealed a liver with normal morphology. EUS-guided fine needle biopsy was performed (2 passes; 22G Acquire, Boston Scientific) obtaining material that was sent for evaluation. The histological examination was compatible with DILI. Ten days after the liver biopsy, the patient presented sudden epigastric pain. The abdominal CT scan revealed a hepatic pseudoaneurysm with 28x23mm located in segment VIII with origin in a segmental branch of the main trunk of the right hepatic artery. An adjacent intrahepatic hematoma with 54x45mm was also identified. After the diagnosis, the patient underwent a transcatheter arterial embolization. Complete embolization of pseudoaneurysm was accomplished after 3 embolization sessions, performed during 1 week [1] [2].
Endosonographic salvage using tubular SEMS due to a late LAMS dislodgement in a EUS-Gastroenterostomy
Authors: D. Luna-Rodriguez, S. Quintana, M. Puigcerver, I. Peiro, P. Gubern, M. Marin, S. Maisterra, J. B. Gornals
Journal: Endoscopy (2023)

Abstract Text A 53-year old woman with history of unresectable pancreatic adenocarcinoma presented with GOOS (gastric outlet obstructive syndrome) and was treated with placement of an enteral stent. Four months later, the patient presents again onset of GOOS. Endoscopy salvage is carried out by performing an EUS-guided gastroenterostomy with a lumen-apposing metal stent (LAMS). Four months later, new onset of GOOS occurs, due to a late LAMS dislodgment due to neoplastic progression. Endosonographic salvage using several tubular SEMS (enteral and oesophageal) is performed. Five months later, the patient remains with correct oral intake.
Interest of colonoscopy in patients with constipation: a comparative study according to age
Authors: A. Benhamdane, A. Sair, T. Addajou, S. Mrabti, B. Aourarh, K. Boualiten, B. Jihane, R. Berraida, R. Fedoua, A. Benkirane, H. Seddik
Journal: Endoscopy (2023)

Aims The aim of our study is to evaluate the interest of colonoscopy in the exploration of constipation according to the age of the patient.